How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,380 to $7,586Professionalmedian $1,175 · 10th to 90th $794 to $6,918
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2,398.83 Median $6,918.31 Typical High $13,803.84 | Facility | None | $2,398.83 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,258.93 | Professional | None | $794.33 | $1,000.00 | $1,258.93 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,398.83 | $2,511.89 | $2,511.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $3,981.07 Typical High $4,168.69 | Facility | None | $1,258.93 | $3,981.07 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $1,230.27 | Professional | None | $851.14 | $1,230.27 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $8,511.38 | Facility | None | $1,000.00 | $2,089.30 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $6,918.31 | Professional | None | $812.83 | $1,047.13 | $6,918.31 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,318.26 | Professional | None | $794.33 | $933.25 | $1,318.26 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $501.19 Typical High $616.60 | Professional | 52 · Reduced service | $398.11 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $199.53 Typical High $251.19 | Professional | 53 · Discontinued | $158.49 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $758.58 Typical High $933.25 | Professional | 54 · Surgery only | $602.56 | $758.58 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $151.36 Typical High $186.21 | Professional | 55 · Aftercare only | $120.23 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $100.00 Typical High $125.89 | Professional | 56 · Pre-op care only | $79.43 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $707.95 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $562.34 | $707.95 | $870.96 |
Where Kansas sits
The same service costs 4.9 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $10,315KY $2,095
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.